| 腹腔镜加小切口脾切除治疗原发性血小板减少性紫癜:附13例报告 |
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| 引用本文： | 王培林,郭震,于文滨,胡三元.腹腔镜加小切口脾切除治疗原发性血小板减少性紫癜:附13例报告[J].中国普通外科杂志,2004,13(12):887-888. |
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| 作者姓名： | 王培林 郭震 于文滨 胡三元 |
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| 作者单位： | 山东大学第二医院,普外科,山东,济南,250033 |
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| 摘 要： | 目的 探讨腹腔镜加小切口行脾切除术治疗原发性血小板减少性紫癜 (ITP )的效果。方法 笔者采用腹腔镜加小切口辅助对 13例ITP患者进行脾切除手术。即用腹腔镜游离脾脏后 ,于左肋缘下作一小切口 ,直视下结扎脾蒂 ,切除和取出脾脏。分析手术前后患者的血小板计数、并发症率及术后恢复情况。结果 13例术后均未发生并发症 ;ITP治疗有效率为 10 0 %。结论 腹腔镜加小切口脾切除术治疗ITP是一种安全有效的手术方法
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| 关 键 词： | 紫癜 血小板减少性/治疗 脾切除术 腹腔镜术 |
| 文章编号： | 1005-6947(2004)12-0887-02 |
| 修稿时间： | 2004年7月21日 |
Laparoscopy and small incision splenectomy in the treatment of idiopathic thrombocytopenic purpura :a report of 13 cases |
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| WANG Pei-lin,GUO Zhen,YU Wen-bin,HU San-yuan.Laparoscopy and small incision splenectomy in the treatment of idiopathic thrombocytopenic purpura :a report of 13 cases[J].Chinese Journal of General Surgery,2004,13(12):887-888. |
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| Authors: | WANG Pei-lin GUO Zhen YU Wen-bin HU San-yuan |
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| Abstract: | Objective To investigate the results of laparoscopy and small incision splenectomy in the treatment of Idiopathic Thrombocytopenic Purpura (ITP). Methods Under CO2 pneumoperitoneum, laparoscopy and small incision splenectomy was performed in 13 patients . After freeing of the spleen with laparoscopy , we performed a small incision under the left costal margin. The splenic pedicle was 1-igated under direct vision, and the spleen was excised and extracted. Analysis was made of the pre-and post-operative platelet counts, and the complication rate and recovery condition of the patients. Results No complications occurred in the 13 palients, and the effect-iveness of ITP treatment was 100%.Conclusions Laparoscopy and small incision splenectomy is a safe and effective method to treat ITP. |
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| Keywords: | PURPURA THROMBOCYTOPENIC/ther SPLENECTOMY LAPAROSCOPY |
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